The State of Rhode Island's pharmacy plan is administered by CVS Caremark. Prescriptions can be filled at any in-network pharmacy. For details regarding pharmacy coverage see the Summary of Coverage or contact CVS Caremark at www.caremark.com or call the customer service number: 1-800-307-5432.
To obtain a 3 month supply of a prescription drug for 2 co-payments, use the form provided for the CVS Caremark Mail Order Program. Additionally, please note that the Office of State Employee Benefits is implementing a new RX Maintenance Choice (w/ Opt Out) program effective January 1, 2017. This program creates efficiencies in the pharmaceutical delivery system that benefits both the state and you as the health plan member. Basically, the program encourages you to utilize the mail-order/CVS-Target pick-up options for 90-day supplies of maintenance medications and realize savings. This method saves the cost of a single co-pay, which over the course of the year can add up to several hundred dollars. Some of you and your dependents surely already participate in this program – it is currently voluntary. But beginning January 1, 2017, this program will become mandatory unless you opt out by calling CVS Caremark. See below for a description of how the program works.
To obtain reimbursement for out-of-network pharmacy claims, complete the CVS Caremark RX Claim Form and submit as instructed on the form.
To learn more about pharmacy coverage, visit the State of Rhode Island's Medical/Pharmacy Coverage page at: http://www.employeebenefits.ri.gov/Medical.php
For more information regarding Medical Insurance, please visit: http://ccri.edu/hr/handbook/302Health.html
HOW THE PROGRAM WORKS:
Please view the CVS Caremark Maintenance Drug List and the “Benefits At A Glance” document for the state’s pharmacy coverage. Please note that the Maintenance Drug List is intended to be illustrative and is not all-inclusive.
The CVS Caremark Flyer describes the 90-day Maintenance Choice options available to you. For those so inclined, mail order is a great way to save money and not wait in lines at the pharmacy. It is relatively hassle-free and they even schedule helpful reminder phone calls and/or text messages when re-fills are due. CVS Caremark will also facilitate your doctor providing the prescription so you don’t have to. Visit www.caremark.com/wps/portal/WELCOME_PAGE to learn more general information about the web-based services CVS Caremark offers and register an online account. The CVS Caremark home page is www.caremark.com.